Individual
MRS. STEPHANIE J SKLODOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
750 E DELAWARE AVENUE, NEWARK HIGH SCHOOL, NEWARK, DE 19711-7185
(302) 369-1606
Mailing address
750 E DELAWARE AVENUE, NEWARK HIGH SCHOOL, NEWARK, DE 19711-7185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-000312
DE
101YP2500X
Professional Counselor
PC-0000312
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5103872
BLUE CROSS BLUE SHIELD
DE
05
—
DON'T HAVE
—
DE
Enumeration date
08/18/2006
Last updated
08/08/2017
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